A longitudinal study of the stress of poor glucose control and diabetes distress

Poor glucose control can be viewed as a stressor, possibly promulgating diabetes distress. We examined the relationship between perceived blood glucose control and diabetes distress over time using a partially controlled cross-lagged path analysis model. After controlling for demographics, control a...

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Bibliographic Details
Published in:Journal of health psychology 2021-09, Vol.26 (11), p.1966-1975
Main Authors: Marengo, Christina M, Aronson, Benjamin D, Sittner, Kelley J, Walls, Melissa L
Format: Article
Language:English
Subjects:
Blood Glucose
Diabetes
Diabetes Mellitus, Type 2
Glucose
Humans
Indirect effects
Longitudinal Studies
Participatory research
Path analysis
Perceived control
Psychological distress
Stress, Psychological
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Summary:Poor glucose control can be viewed as a stressor, possibly promulgating diabetes distress. We examined the relationship between perceived blood glucose control and diabetes distress over time using a partially controlled cross-lagged path analysis model. After controlling for demographics, control at 6 months was directly related to change in distress at 12 months. Subsequently, distress at 12 months was directly related to change in control at 18 months. Both 6-month control and distress had significant indirect effects on 18-month control and distress. This demonstrates the nuanced bi-directional relationship between the stress of poor perceived control and diabetes distress.
ISSN:1359-1053
1461-7277
1461-7277
DOI:10.1177/1359105319893004